3 Flashcards
Nurse Christine should expect a client with hypothyroidism to report which health concerns?
A. Increased appetite and weight loss
B. Puffiness of the face and hands
C. Nervousness and tremors
D.Thyroid gland swelling
B.
A client taking a chemotherapeutic agent understands the effects of therapy by stating:
A. I will avoid eating hot and spicy foods.
B.I should stay in my room all the time
C. I should limit my fluid intake to about 500 ml per day
D. I should notify the physician immediately if a urine color change is observed.
A.
Nurse Ralph is assigned in the oncology section of the hospital, which of the fallowing orders
should the nurse question if the client is on radiation therapy?
A.Analgesic before meals
B.Aspirin every 4 hours
C. Saline rinses every 2 hours
D. Bland diet
B.
Which of the following diagnostic procedures can detect early thyroid cancer?
A. Blood test
B. X-ray
C. Ultrasound
D. urinalvsis
C.
To which of the following nursing diagnoses should a nurse give priority in the care of a patient who is receiving chemotherapy for treatment of cancer?
A. Risk of infection
B.Stress incontinence
C. Altered sexually patterns
D. Impaired physical mobility
A.
During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse
should include which statement?
A. The head of your bed must remain flat for 24 hrs. after
B. You should avoid deep breathing and coughing after surgery
C. You won’t be able to swallow for the first day or two
D. You must avoid hyperextending your neck after surgery
D.
The nurse is assessing a client after a thyroidectomy. The assessment reveals muscle twitching
and tingling, along with numbness in the fingers, toes and mouth area. The nurse should suspect
which complication?
A.Tetany
B.Thyroid storm
C. Hemorrhage
D. Laryngeal nerve damage
A.
For the first 72 hours after thyroidectomy surgery, the nurse would assess the female client for
Chovstek’s sign and Trousseau’s sign because they indicate which of the following?
A.Hypocalcemia
C. Hypercalcemia
B.Hypokalemia
D. Hyperkalemia
A.
Early this morning, a female client had a subtotal thyroidectomy? During evening rounds, thenurse assesses the client, who now has nausea, a temperature of 40.5 °C, tachycardia and extreme restlessness. What is the most likely cause of these signs?
A diabetic ketoacidosis
C. Thyroid crisis
B. Hypoglycemia
D. Tetany
C.
A client had undergone radiation therapy (external). The expected side effects include the
following apart from
A.Hair loss
B.Constipation
C. Headache
D. Ulceration of oral mucous membrane
B.
Skin reactions are common in radiation therapy. Nursing responsibilities on promoting skin
integrity should be promoted apart from
A. Avoiding the use of ointment
B.Using soft cotton fabrics for clothing
C.Avoid direct sunshine or cold environment
D.Washing the area with mild soap and water and patting it dry not rubbing it.
BONUS:A/D
Which of the following nursing actions is inappropriate for a post thyroidectomy client?
A. Ask the client to speak every hour
B.Check the back of the neck for the drainage
€.Assist the client to assume supine position post operatively
D.Maintain patency of airway
A.
Post operatively, the nurse should continue to assess for signs and symptoms of hypocalcemia.
Which of the following are indicative of tetany?
A.Abdominal cramping and convulsions
B. Dyspnea and cyanosis
C. Muscular flaccidity and hypotension
D. Positive Chovstek’s and Trousseau’s sign
D.
Situation: As a student nurse, one must have knowledge about Breast Cancer and its
management
- On a clinic visit a client who has a relative with cancer, is asking about the warning signs that may relate to cancer. The nurse correctly identifies the warning signs of cancer by responding:
A. “If a sore healing took a month or more to heal, cancer should be suspected.”
B.”Presence of dry cough is one of the warning signs of cancer”.
C” A lump located only in the breast area may suggest the presence of cancer”
D.”Sudden weight loss of unexplained etiology can be warning sign of cancer”
D.
42 Radiation protection is very important to implement when performing nursing procedures. What distance should be maintained from the client, when a nurse is not performing any procedure?
A.1 feet
B. 2 feet
C. 2.5 feet
D. 3 feet
D.
